Case Report
Volume 2 Issue 11
Comparative Evaluation among Three Therapeutic Modalities in the Removal of Gingival Hyperplasia in Orthodontic Patient: Case Report
Irineu Gregnanin Pedron, Vivian Galletta, Luciane Hiramatsu Azevedo, Marcelo do Lago Pimentel Maia and Caleb Shitsuka
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Orthodontic apparatology hinders oral hygiene and may contribute to the formation of inflammatory gingival hyperplasia. In some cases, this lesion may be reversible through basic periodontal therapy and oral hygiene guidance. However, most of the time, when the lesion cannot be reversed by basic procedures, surgical treatment is required. The purpose of this article was to present the case of a patient under orthodontic treatment who developed gingival hyperplasia and was treated by conventional surgery, electrosurgery and laser surgery. The advantages and disadvantages of the therapeutic modalities employed were discussed.
Keywords:Gingival Hyperplasia; Orthodontics; Periodontics; Gingivectomy; Laser Therapy; Electrosurgery
Case Report
Volume 2 Issue 11
The Importance of Interprofessional Performance on the Care of a Patient with Carcinoma Ex Pleomorphic Adenoma in Submandibular Gland: Case Report
Edla Layanne Florêncio de Carvalho, Érika Calixto de Souza, Luciano José de Lemos França, Diego Chaves Rezende Morais, Danielle Lago Bruno de Faria and Cláudia Cristina Brainer Mota
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Introduction:The interprofessional performance of the health team is considered essential for the care and management of people during cancer treatment, whether in relationships with the patient or in those with the team itself. This practice is an essential solution to healthcare. This study aims to report a clinical case of a patient diagnosed with carcinoma ex pleomorphic adenoma in the right submandibular gland, showing the importance of interprofessional cooperation between Medicine and Dentistry during its treatment.
Case Report:A 35 year old male patient diagnosed with carcinoma ex pleomorphic adenoma was treated with surgery and adjuvant radiotherapy, alongside dental laser therapy for the prevention and treatment of mucositis. Oral management was also done previous to the radiotherapy. Throughout radiotherapy treatment, patient presented tolerable toxicity with grade 2 mucositis according to the World Health Organization. Two weeks after the end of treatment, the patient did not show clinical evidence of mucositis. He is still undertaking medical and dental treatment, not presenting any signs of recurrence, local or systemic, nor relevant late toxicity levels.
Conclusion:Interprofessional approach between Medicine and Dentistry given to the patient previous, during and after oncologic treatment was extremely important because it allowed him comfort and quality of life, as well as minimum sequelae.
Keywords:Oncology; Carcinoma; Submandibular Gland; Patient Assistance Team; Quality of Life
Case Report
Volume 2 Issue 11
Separated Instrument Removal from Root Canal System of Upper Central Incisor: A Case Report
Kazi Hossain Mahmud and Ashik Abdullah Imon
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Instrument fracture within the root canal during root canal treatment is an unwanted and frustrating complication. Fractured portion of instruments may interfere the root canal treatment prognosis due to improper cleaning and shaping. Endodontic instrument fracture occurs due to overuse or incorrect use of instrument. After separation of an endodontic reamer or file during procedure, incident should be informed to patient and should discuss with the patient whether to remove the fragment or bypass it or leave it as it is. If a separated instrument is managed properly, incident may not effect the prognosis of the treatment. In this case report a 25 year old female patient attended to Department of Conservative Dentistry and Endodontics BSMMU, with complaints of mild pain, dislodgement of restoration and history of root canal treatment one month back on her both maxillary central incisors. This case was clinically and radiologically evaluated. On clinical examination there was fracture of both maxillary central incisor with open root canal system without any interim restoration. Both of the tooth was mild painful on palpation, tender on percussion and there was no mobility. An intra oral periapical radiograph showed that there is a separated instrument present in the root canal system of left sided maxillary central incisor. The separated instrument was removed from the canal and root canal treatment was done to both of the tooth. After completion of the treatment patient was symptoms free an advised for periodic recall.
Keywords:Instrument Separation; Procedural Error; Failure of Root Canal Treatment
Case Report
Volume 2 Issue 11
X-ray Analysis of Apical Closure by Direct Pulp Coating Using Biodentine in Definitive Piece; Case Report
Andrea Ponce Bueno, Mónica Banda cifuentes, Denny Domínguez Gaibor, Marìa Josè Jarrìn and Alexander Cruz Gallegos
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New techniques and biomaterials to solve pulp problems in both types of teeth continue to be developed today. Biodentine® is a calcium silicate cement, which is used as a bioactive substitute for dentin, which by applying it favors the healing of pulp tissue, increasing the migration, proliferation and adhesion of pulp cells, of this way is rated as an ideal material. The preservation of the vitality of the pulp will allow the constant progress of apical formation and closure. The report of a case using Biodentine®, is presented in a definitive molar. Male patient 8 years old. Dental organ 3.6 presents a nolla 8 stage. The biomaterial was used, as a direct pulp coating to subsequently analyze root formation, thickening of the root walls and by the last closure applied, using periapical x-rays. Biodentine® could be considered as an effective and promising biomaterial in direct pulp coating treatment in definitive teething, however long-term clinical studies are necessary for that drug to become, into the first choice in such treatments. In the follow-up to the 1st, 2nd, 3rd and 6th months, both clinical and radiographic dental organ 3.6 is asymptomatic, the roots continued to develop and there was no sign of periapical injury.
Keywords:Biodentine; Direct Pulp Coating; Definitive Teething
Case Report
Volume 2 Issue 11
A Rare Case of Unilateral Pneumoparotid
Mohammed Salman Basha
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Parotid swelling is not an uncommon finding. Enlargement of parotid can happen due to infections, obstruction in salivary flow, tumors of salivary glands, systemic diseases or syndromes. We here present a rare case of right parotid swelling due to retrograde movement or insufflation of air from the mouth into the parotid gland and possible management options.
Keywords:Parotid Swelling; Parotiditis; Pneumoparotid; Pneumoparotitis; Pneumosialoadenitis
Case Report
Volume 2 Issue 11
X-ray Analysis of Apical Closure by Direct Pulp Coating Using Biodentine in Definitive Piece; Case Report
Andrea Ponce Bueno, Mónica Banda cifuentes, Denny Domínguez Gaibor, Marìa Josè Jarrìn and Alexander Cruz Gallegos
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New techniques and biomaterials to solve pulp problems in both types of teeth continue to be developed today. Biodentine® is a calcium silicate cement, which is used as a bioactive substitute for dentin, which by applying it favors the healing of pulp tissue, increasing the migration, proliferation and adhesion of pulp cells, of this way is rated as an ideal material. The preservation of the vitality of the pulp will allow the constant progress of apical formation and closure. The report of a case using Biodentine®, is presented in a definitive molar. Male patient 8 years old. Dental organ 3.6 presents a nolla 8 stage. The biomaterial was used, as a direct pulp coating to subsequently analyze root formation, thickening of the root walls and by the last closure applied, using periapical x-rays. Biodentine® could be considered as an effective and promising biomaterial in direct pulp coating treatment in definitive teething, however long-term clinical studies are necessary for that drug to become, into the first choice in such treatments. In the follow-up to the 1st, 2nd, 3rd and 6th months, both clinical and radiographic dental organ 3.6 is asymptomatic, the roots continued to develop and there was no sign of periapical injury.
Keywords:Biodentine; Direct Pulp Coating; Definitive Teething
Case Report
Volume 2 Issue 11
Mandibular Eosinophilic Granuloma Remission and Healing Post Biopsy
Assad Mehmood Khan and Tumadhir Ahmed Al-alwan
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Langerhans cell histiocytosis (LCH), previously known as histiocytosis X, is a rare disease of unknown etiology. It is a clonal proliferation of dendritic cells of the immune system, which can affect multiple organ systems and range in behavior from a benign inflammatory process to a much more aggressive process. Not many cases have been documented in the Jaws. This case is an example of Langerhans cell histiocytosis in the right side mandible, which resolved spontaneously following an incisional biopsy without any further surgical intervention.
Keywords:Langerhans’s cell histiocytosis; Eosinophilic Granuloma; Mandible; Spontaneous Resolution
Review Article
Volume 2 Issue 11
Expanding Articular Space during Opened TMJ Surgery - New Technique Description
Stevao Eber Luis de Lima, Maurer Peter and Arabadzhiev Ivan Hristov
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Background: Patients with severe Temporomandibular Joint (TMJ) diseases might need some type of joint procedure. TMJ surgical procedures can be somewhat difficult and demand a skilled surgeon, with good anatomy knowledge, to perform them. Clear vision of the articular spaces during any opened TMJ arthroplasty is not easy even though neuromuscular blocking agents can be administered during general anesthesia as the condyle still seats inside the articular fossa reducing plain identification of joint structures.
Purpose: This article presents a simple assisting surgical procedure called Screw-Wire-Holder technique, which facilitates pulling the condyle outside the articular fossa, in a downward and forward direction, making possible not only joint visualization but also the ideal execution of inside joint needed procedures.
Materials and Methods: A total of thirty two TMJ arthroplasty were performed using this minor surgical auxiliary concomitant procedure.
Results: No undesirable results were found when all patients were submitted to this technique during their opened TMJ surgeries. Authors have not come across to any difficulties to perform the procedure nor undesirable effects of were ever experienced.
Conclusion: The SWH technique is a simple and very helpful procedure which can facilitate TMJ arthroplasty visualization. No complications, if any, are rarely observed. As best of our knowledge there is no such technique report and/or description in the international scientific literature.
Keywords:TMJ Arthroplasty; TMJ Surgery; Mandible Manoeuvre; Articular Space; Joint Space
Research Article
Volume 2 Issue 11
Assessment of Five Different Ultrasonic Bone Osteotomies in Rabbit Skull - Micromorphological Evaluation
Maurer Peter, Stevao Eber Luis de Lima, Hollstein Stephan, Nora Prochinov Nora and Heyroth Frank
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Purpose:The novel ultrasonic osteotomy technique called piezosurgery is an alternative to conventional osteotomy devices. The aim of this study was to compare the micromorphology after the use of five different ultrasonic osteotomy in rabbit skulls.
Materials and Methods:Fresh bone samples were taken from a rabbit skull using the Piezosurgery® 3 (insert tip - OT7), Piezosurgery® Medical (insert tip - MT1-10), Piezon Master Surgery® (insert tip - SL1), VarioSurg® (insert tip - SG1), and Piezotome® 2 (insert tip - BS1 II). For conventional histological analysis Masson-Goldner Trichrome staining was performed. Additionally, the bone surfaces were examined using a dark field microscope.
Results:The histological analysis of the stained bone samples as well as the dark field microscopic examinations of the unmodified bone samples revealed typical calvarial bone structure with compact (external and internal) and spongy (diploe) bones. Minor differences between the tested ultrasonic devices could be observed regarding the amount of bone debris and the integrity of cancellous bone within the osteotomy line.
Conclusion:In the present study, minor micromorphological differences following the use of five ultrasonic devices could be identified and due to the bone micro-architecture preservation found all tested devices might facilitate bone healing.
Keywords:Bone Micromorphology; Ultrasonic Osteotomy; Rabbit Skull; Dark Field Microscopy; Piezosurgery
Research Article
Volume 2 Issue 11
Comparative Evaluation of the Sealing Ability of Three Root Canal Sealers Using Fluid Filtration: An In Vitro Study
Philip Pradeep, Seema Dixit, Prem Prakash and Ashutosh Dixit
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Aim:The aim of the study was to analyse the sealing ability of three root canal sealers: AH Plus, MTA Fillapex and Resilon/RealSeal SE.
Methodology:Eighty freshly extracted human permanent mandibular first premolars were decoronated using a diamond disc at a level of 14 mm from the root tip in order to maintain uniformity of specimen length. Cleaning and shaping was done using Hyflex CM rotary instruments. The teeth were randomly divided according to the obturating material into three experimental groups.
The coronal part of each root specimen was attached to an apparatus initially proposed by Xu., et al. to assess endodontic micro-leakage.
All specimens were then incubated at 37°C during the observation period. Samples were then analyzed with a glucose kit using colorimetry, and were expressed in mMol/L.
Conclusion:None of the sealers were efficient in preventing microleakage within the root canals. Under the experimental condi-tions, AH Plus had the least amount of endodontic leakage followed by RealSeal SE and MTA Fillapex.
Keywords:AH Plus; Resilon; RealSeal SE; MTA Fillapex; Hyflex CM
Editorial
Volume 2 Issue 11
Trigeminal Neuralgia - A Depressed Disease!!
Sarvesh Vijay and Shalu Srivastava
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The word ‘neuralgia’ is derived from an ancient Greek word- Neuron which means nerve and Algos meaning pain. Neuralgia is nothing but a pain of severe throbbing or stabbing character in the course of distribution of a nerve. There are different types of neuralgias like post-herpetic neuralgias, occipital, geniculate, glossopharyngeal, sphenopalatine, para-trigeminal and trigeminal neuralgias. Among all the neuralgias trigeminal neuralgia is the most severe form, which is routinely encountered by the dental professionals. According to advanced study reports trigeminal neuralgia which is also known as Fothergill’s disease or Tic- doloureux (i.e. painful jerking) is observed in about 4 in 100,000 cases.
Case Report
Volume 2 Issue 10
Case Report: Immediate Implants in Compromised Hard and Soft Tissue Aesthetic Zone
Dr. B Arunkumar MDS.
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Tooth loss in the aesthetic region is often a traumatic experience for the patient. Trauma to upper anterior teeth is common, and their loss can lead to significant aesthetic and functional problems. Immediate Implant placement in the aesthetic zone with compromised hard and soft tissues is a challenging situation requiring careful planning to get the desirable outcome. Immediate implant placement is a well-accepted treatment modality that has been shown to have high cumulative survival rates ranging 92 - 100% [2-5]. This is a case report of 28 year old female, who lost her front tooth in a road traffic accident and the how the bone regeneration was successfully achieved along with immediate implants placement.
Keywords:Immediate Implants; Bone Regeneration; PRF; Bone Grafts
